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Health Problems and Health Care Services of Adolescents in Private Dormitories Sumalee Permpaengpun Senior Technical Public Health Officer Jareerat Chootrakul Senior Technical Public Health Officer Reproductive Health Division, Department of Health

Abstract The objectives of this study is to examine health knowledge, attitude, behaviors, and problems of adolescents staying in private dormitories. The expected-health care services to be provided in the dormitories are examined as well. This study was conducted quantitatively on an anonymous basis.

Representative samples of 421 adolescents staying in private dormitories were randomly selected. In addition, the qualitative data are summoned up from 9 focus group discussions of totally 80 persons, and from in-depth interviews with 12 dorm owners/managers. It was found that most of the sample were 1822 year old, female, and undergraduate students. 89.8% got financial support from the parents and 14.5% stated they had insufficient financial support. Knowledge about AIDS, sexual health, and contraceptive methods were quite low among the sample. Nonetheless, most of them had positive attitudes on sexual relationship and contraception, but not free sex. Almost half of them or 46.3% accepted night life as a means to gain life skills. Most of the sample had girlfriends/boyfriends and 28% had sex with their partners. Contraceptive methods mostly used were condoms (44.9%), followed by withdrawal, contraceptive pills, and safety period. Some used to be pregnant and have had sexually transmitted diseases. Regarding health risk behaviors, more than half exposed to sexual content in the media, 38% having night lives at least once a month. Other health problems were flu, high fever, stomach ache, and tinea cruris. Drug store was a place where they seek health care. The scope or type of health services adolescents and dorm owners preferred to be available were: health corner where they could access to knowledge; counseling service by trained personnel; nursing room and common drugs available by training of dorm staff to effectively provide counseling and first aid; collaboration and coordination among dorms, schools/universities, health posts and community for better health of the adolescents; comment box; care for environmental health, personal hygiene, food safety, and place for physical activity; and dormitory health standard . According to the study, it is recommended that the Ministry of Public Health worked together with the Ministry of Social Development and Human Security, educational institutions and dorm owners in addressing the health needs of the adolescents. Further attention and implementation should be on making health and reproductive health knowledge available for and accessible to various concerns and needs of the adolescents, running health surveillance in dormitories, setting health promotion and environmental health standard of the dormitory, and executing laws and regulations.

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‡Õ° “√Õâ“ßÕ‘ß 1. °ÕßÕπ“¡—¬°“√‡®√‘≠æ—π∏ÿå. °√¡Õπ“¡—¬. °√–∑√«ß “∏“√≥ ÿ¢. º≈°“√ ”√«® ∂“π°“√≥å·∑âß„πª√–‡∑»‰∑¬ æ.».

2542. ππ∑∫ÿ√’: °√¡Õπ“¡—¬; 2542 2. ®—π∑≥—™ ∑Õß»‘√‘ ·≈–§≥–. (¡.ª.ª.) 惵‘°√√¡‡ ’ˬߢÕßπ—°‡√’¬π π—°»÷°…“„πÀÕæ—°‡¢µ‡∑»∫“≈‡¡◊Õßπà“π. πà“π: ”π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥πà“π.

3. ™◊Ëπƒ∑—¬ °“≠®π–®‘µ√“ ·≈–§≥–. ÿ¢¿“æ§π‰∑¬. °√ÿ߇∑æœ: ∂“∫—π«‘®—¬ª√–™“°√·≈– —ߧ¡ ¡À“«‘∑¬“≈—¬¡À‘¥≈; 2546 THAILAND JOURNAL OF HEALTH PROMOTION AND ENVIRONMENTAL HEALTH January - March 2010

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∫ ∑ «‘ ∑ ¬ “ ° “ √ ‡Õ° “√Õâ“ßÕ‘ß 4.πßæß“ ≈‘È ¡ ÿ « √√≥.(2545). ∏√√¡™“µ‘ ¢ Õß«— ¬ √ÿà π . Retrieved 16, December, 2005, from http:// www.thaimental.com.

5.πæ«√√≥ ∏’√–æ—π∏凮√‘≠·≈–æ«ß™¡æŸ Àß å™—¬.°“√ à߇ √‘¡°“√‡√’¬π√Ÿâ‡æ◊ËÕªÑÕß°—π·≈–·°âªí≠À“‡Õ¥ å ”À√—∫π—°»÷°…“ „À¡à. ¡À“«‘∑¬“≈—¬√“™¿—Øæ√–π§√»√’Õ¬ÿ∏¬“ ; 2549 6.≥√ߧ廗°¥‘Ï Õ—ß§ ÿ«–æ≈“. √“¬ß“πº≈°“√ ”√«®Õπ“¡—¬‚æ≈≈å§√—Èß∑’Ë 1/2550 ππ∑∫ÿ√’: °√¡Õπ“¡—¬; 2550 7.«ÿ≤‘æß»å ≈‘¡ªá«‘‚®√πå (¡.ª.ª.). ªí≠À“∑’Ëæ∫∫àÕ¬„π™à«ß∑’Ë°”≈—ß»÷°…“„π√–¥—∫Õÿ¥¡»÷°…“. Retrieved 15, March, 2007, from http://www.home.kku.ac.th./genudu/000131/docfile/papercontent06/unit6_1.doc.

8. ÿ¢ÿ¡ ‡©≈¬∑√—æ¬å. «‘°ƒµ‘‡¬“«™π‰∑¬ „§√®–™à«¬·°â ¡µ‘™π√“¬«—π. Àπâ“ 5.«—π∑’Ë 1 ‡¡…“¬π 2550 9. ÿ√‡¥™ ©“¬–‡°…µ√‘π.(2548). «—¬√ÿàπ∑‘Èß¡à“π√Ÿ¥„™âÀÕæ—°¡’‡´Á° å. Retrieved 28, Feb. 2007, from http:// www.SsmartOnline.com.

10. ”π—°ß“π ∂‘µ‘·Ààß™“µ‘. ”π—°π“¬°√—∞¡πµ√’ .√“¬ß“π°“√ ”√«®ÀÕæ—° æ.». 2543: °√ÿ߇∑æ; 2544 11.Õ¡√«‘™™å π“§√∑√√æ·≈–®”≈Õß ∫ÿ≠™Ÿ. °√≥’»÷°…“: ™’«‘µ §«“¡√—° «—¬√ÿàπ ÀÕæ—°. Retrieved 28, Feb. 2007, from http://www. Nan.m-Society.go.th 12.Õ¡√«‘™™å π“§√∑√√æ. .√—∞µâÕß∑”„Àâ§√Õ∫§√—«‡¢â¡·¢Áß. (°“√ª√–™ÿ¡√–¥¡§«“¡§‘¥‡ÀÁπªí≠À“‡¬“«™π„π ∂“π»÷°…“). ‡¥≈‘π‘« å. Àπâ“ 3.; 2550 13.Õ¿‘√∞— æÿ¡à °ÿ¡“√. . √â“ߧà“π‘¬¡„À¡à„π«—π·Ààߧ«“¡√—°. (®—¥‚¥¬ ™¡√¡√—°°—π‡µ◊Õπ°—π·≈–‡§√◊Õ¢à“¬π—°»÷°…“ 65 ∂“∫—π ∑—Ë«ª√–‡∑»). ¢à“« ¥√“¬«—π. 16(5,917). Àπâ“ 1, 15.

14.Durex . Globle Survey. ;1999 HEALTH

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